Mechanical circulatory support

The role for temporary and durable mechanical circulatory support is rapidly expanding. As the use of these technologies continues to grow, the emergency physician has an increasing opportunity to participate in the advancement of these potentially life-saving technologies. This review discusses the...

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Bibliographic Details
Published inEmergency medicine clinics of North America Vol. 32; no. 4; p. 851
Main Authors Greenwood, John C, Herr, Daniel L
Format Journal Article
LanguageEnglish
Published United States 01.11.2014
Subjects
Assisted Circulation
Emergency Service, Hospital
Equipment Design
Extracorporeal Membrane Oxygenation
Heart Arrest - therapy
Heart-Assist Devices - adverse effects
Humans
Intra-Aortic Balloon Pumping
Shock, Cardiogenic - therapy
Cardiogenic shock
Mechanical circulatory support
Ventricular assist device
Extracorporeal membrane oxygenation (ECMO)
Intra-aortic balloon pump
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Summary:The role for temporary and durable mechanical circulatory support is rapidly expanding. As the use of these technologies continues to grow, the emergency physician has an increasing opportunity to participate in the advancement of these potentially life-saving technologies. This review discusses the current role of the intra-aortic balloon pump in cardiogenic shock, describes the complications and management strategies for the critically ill patient with a left ventricular assist device, and explores the emerging role of ECMO in the emergency department for patients presenting in refractory cardiogenic shock and cardiac arrest.
ISSN:1558-0539
DOI:10.1016/j.emc.2014.07.009